1977, 12-07 Permit App: M4354 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
73
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a lord use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on rater connections disturbs
the surface, shoulders or ditches of County Reads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -RACK FROM PROPERTY LINES. In most zones and under mast circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. There the structure abuts a State Highway. clearance must be obtained pertaining to set -back and Ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance wltb stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUIIDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of eBLiitr) Yi/aIAfJfi Address
Architect Address
Engineer Address
Contractor )4,4444.17 Address
Phone 6.21-242.17 .,
Phone
Phone
Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number 6424.41..2-/..D-01
n T/ /3/ K 1 ltki rr1A-pQ ( S4 -_L
DESCRIPTION OF WORK: New Y Addition Remodel Moving Bld 2 e -L-. Fire�Pn e
Size of Lot / S/ X -? 9n 1 Sewage System 1r�1.� Const. 1%-/1n2L�
/2X32 O6G K • ) IFR. Conc.. Br., etc.)
Stories .Dimensions , 7)( 32��,X//r.2 —.30X30 - Q4Xa/ Total Sq Ft S7S( vola tion ? Soa QQ
Rooms ....FL_ Bathes Basement 7i11, Foundation Const. r+YKI'.(ert, Chimneys it place �
pp Dirt
Fu I, Pert. one , / p (Kind) IN Sr
Heat System �yOA'di Fii.Type VRff Rooting _K� Ext. FinlsbT//1 Int Wall Finish
�vppll /r/r No of Unita _.Bedraoma
Use of Bldg. tdi_ALu r'o - , ; .tom 41t7o a
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State Licence No.
Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
'- Plumbing Permit
rm Heating Permit
y>r Sewage Permit
tiU
11:t
Plans Returned
Plans Received
Plans Checked
t
�ry Plans Picked Up
Plans Mailed
as shI beret r Yy in mmltted is correct and there are no other structures located on this property except
" in �- �� 2-7-77
�'er or Agent' Date
A LAND USE OR STRU(
THIS IS NOT A PERMIT.
Q-Aet.11441 A
DO NOT WRITE BELOW THIS LINE
Your street address will be /671/ t 172. 421-4.-
Sense
,(y.LSewage Permit Number_ Issued Building Permit
Remarks
4143j zone is --"""/ .2-.(2444, wL.G
// Receipt()) 294 Issued
(/
Form 523 Bldg. Cade